BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PVH C-SECTION PACK

    MDR report key: 359013 · Received October 31, 2001

    Report

    Report Number
    MW1023249
    Event Type
    Malfunction
    Date Received
    October 31, 2001
    Date of Event
    October 1, 2001
    Report Date
    October 31, 2001
    Manufacturer
    MAXXIM MEDICAL
    Product Code
    LRO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PACK WAS MISSING MAYO STAND COVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    48939 PVH C-SECTION PACK CUSTOM C-SECTION INSTRUMENT PACK LRO MAXXIM MEDICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *